| NPI | 1356662910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CALISTA ELIZABETH MELKERSMAN Owner 314-440-1352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2010-06-17 |